OHSU does give some preference to Oregonians, but not enough to really support a claim that they're looking out for the health care interest of Oregonians. Otherwise, they wouldn't routinely rejected well-qualified Oregon applicants (me! and a lot of others I've met) to accept oos students who have zero interest in practicing in Oregon, especially rural Oregon. So if they gave you their spiel about how they cared about accepting instate students, it's BS. And yes, their claims now are exaggerated, and if they were so worried about money, why the tram, the state of the art gym and the SoWhat (love that phrase) development?
At my interview at OHSU two years ago, they were saying the same things that they're saying now and talking about how they were going to have to withdraw from providing as much care as they do currently to indigent patients. Eh, same story, but now they pin the blame on some poor kid.
Yes, the tuition at these schools is a problem if their goal is to provide primary care physicians for underserved areas. I guess some students could receive NHSC or state scholarships for that, but yeah, the current price of medical education is a part of the story of why we have the shortages that we have.